Epidemiology of stroke after cardiac surgery in the current era

Abstract

We have demonstrated a relatively low incidence of stroke in a diverse contemporary cardiac surgical cohort. By enabling preoperative identification of patients at risk, our logistic model has the potential to improve preoperative patient counseling and selection and could help to define high-risk cohorts for research into stroke prevention.

Ascending and Transverse Aortic Arch Repair

“…One possibility is related to prevention of stroke. Because it is acknowledged that postoperative stroke after cardiovascular surgery predicts poor early and late survival, 33 if modalities such as RCP prevented stroke, improved early survival could be expected. Interestingly, analysis of causes of death revealed stroke or neurological injury to occur in only 6% of the deaths, whereas cardiac and multiorgan failure was the most frequent causes of death.…”

Gefäßerkrankungen und -komplikationen im Rahmen von Herzoperationen

“…Patienten mit perioperativem Schlaganfall haben eine höhere Kurz-und Langzeitletalität im Vergleich zu denen ohne perioperativen Schlaganfall [9,12]. Eine multizentrische Analyse von 35.733 Patienten nach koronarer Bypass-Operation ergab eine perioperative Schlaganfallrate von 1,6 %.…”

“…Dieses entsprach einer 3-fach erhöhten Mortalität im Vergleich zu Patienten ohne perioperativen Schlaganfall [11]. Die größten Unterschiede in der Letalität scheinen in der frühen postoperativen Zeitspanne zu bestehen [9,[11][12][13]25].…”

Homocysteine: An Emerging Cardiovascular Risk Factor that Never Really Made it~!2009-10-29~!2009-12-27~!2010-04-08~!

“…These result in relatively high operative and post-operative morbidity and mortality [51,52]. There appears to be a relationship between pre-operative tHcy levels and short-term (30-day) [53] and long-term (2-years) [54] postoperative CVD events in this high-risk group of CAD patients.…”